HomeMy WebLinkAboutBuilding Permit 11-0562 DA TIME
CITY OF PRIOR LAKE 9
INSPECTION NOTICE SCHEDULED / ! � IS
ADDRESS t3C7 r&INKL
OWNER CONTR.
PHONE NO. PERMIT NO. II „ , a" -
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
F ISULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
NAL ❑ PLUMBING FINAL ❑ GASUNE AIR TST
ITE INSPECTION 0 MECH FINAL ❑
COMMENTS: c - ` `
∎mss: _i
Y.W ORK SATISFACTORY, PROCEED
❑ CORRECT ACTION A • PROCEED
❑ CORRECT « k FAii • N BEFORE COVERING
Inspector: ` - er /Contr:
CALL 447 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENT S ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
F PR/ CITY OF PRIOR LAKE BUILDING PERMIT, 7q• Date Rec'd
TEMPORARY ARY CERTIFICATE OF ZONING COMPLIANCE
v �,
x AND UTILITY CONNECTION PERMIT
M,'t'NEsol' 1 White File
2 Pink City PERMIT NO. i t/ 5( Z
,, 3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
40 3.o7 4,,,,,,,iut.,..„ 6,,,.i.., JE., .
LEGAL DESCRIPTION (office use only) Lead Cert
NAT 27064 -1
LOT BLOCK ADDITION PID L5. ' 5-7 . 0
OWNER
(Name) (Phone) 4Ja, ' SO ' - 65
(Address) /4 ad 7 jA...4..4.-ia &d e 6 • LA•ii 7, 583 7 A
BUILDER ' /
(Company Name) ' - - - _ - [� • (Phone) 4- t ` `� - 4O 4 49
(Contact Name) . 4'�rNJ (Phone) 6 * J
(Address) t/7 L f / y , 47 . A:(-0 G� P ik, "n /v 6 /4
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re- Roofing Re- Siding ❑Lower Level Finish ❑ Fireplace
['Addition ❑Alteration ['Utility Connection ``
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc
Type of Construction: I II III IV V AB
�- r 0 0
Occupancy Group: A B E F HI MR S U PROJECT COST /VALUE $ `�7 / �J '
Division: 1 2 3 4 5
(excluding land)
I hereby certify that I have furnished information o this application which is to the best of my knowledge true and correct I also certify that I am the owner or authorized agent for the
above -ment .ne. property and that all constructio will conform to all existing state and local laws and will proceed in accordance with submitted plans I am aware that the building
official ca revok this permit for J,:t cause Fit -mot I hereby agree that the city official or a designee may enter property to perform needed inspections i ii
' Sty ature Contractor's License No Date
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $
State Surcharge $ Pressure Reducer $
- Penalty $ Sewer /Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
_ Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE / $
This Application Becomes Your Building Permit When Approved Paid `�� t No. !„
Date - 24/
Budding Official Date Of
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence Before occupancy, a Certificate of Occupancy must be
issued
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street Prior Lake, MN 55372